Organization Active NPI

Michael J. Feltes, Dba Sound Seniors Geriatrics, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Mystic, CT
National Provider Identifier
1679628820
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
MICHAEL J. FELTES, DBA SOUND SENIORS GERIATRICS, MD
Practice address
3 Heron Rd
Mystic, CT 06355-3253
Phone
(860) 536-6442
Fax
(860) 536-6442
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. June Fliri, M.B.A., M.S.W.
Title
Manager
Phone
(860) 536-6442

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X

Addresses

Primary practice location

3 Heron Rd
Mystic, CT 06355-3253

Mailing address

3 Heron Rd
Mystic, CT 06355-3253
Phone (860) 536-6442

Other identifiers 1

IdentifierTypeStateIssuer
004181880MedicaidCT

National Provider Directory

National Provider Directory
Tax ID family
Michael J Feltes Dba Sound Seniors Geriatrics MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1679628820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HERON RD",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063553253",
            "telephone_number": "860-536-6442",
            "fax_number": "860-536-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HERON RD",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063553253",
            "telephone_number": "860-536-6442",
            "fax_number": "860-536-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. FELTES, DBA SOUND SENIORS GERIATRICS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "FLIRI",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-536-6442",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.B.A., M.S.W."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004181880",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.